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Permit CITY OF T I G A R D MECHAN I CAL DEVELOPMENT SERVICES PERMIT . � ` PE RM I T # • MEC97 -0455 .,,_� = '� � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503)6394171 DATE ISSUED: 11/25/97 %\iACI PARCEL: 2S1O1DA -00101 SITE ADDRESS...: 13190 SW 68TH PKWY SUBDIVISION : TRIANGLE CORPORATE PARK ZONING: C —P BLOCK • LOT •003 JURISDICTION: TIG CLASS OF WORK..:ALT FLOOR FURN • 0 EVAP COOLERS: 0 TYPE OF USE •COM UNIT HEATERS..: 0 VENT FANS...: 0 OCCUPANCY GRP..:B VENTS W/0 APPL: 0 VENT SYSTEMS: 0 STORIES • 1 BOILERS /COMPRESSORS HOODS • 0 FUEL TYPES 0 -3 HP : 0 DOMES. INCIN: 0 :GAS 3 -15 HP : 0 COMML. INCIN: 0 MAX INPUT: 0 BTU 15 -30 HP : 0 REPAIR UNITS: 0 FIRE DAMPERS ?..: Y 30 -50 HP : 0 WOODSTOVES..: 0 GAS PRESSURE...: 50+ HP : 0 CLO DRYERS..: 0 NO. OF UNITS AIR HANDLING UNITS OTHER UNITS.: 8 FURN ( 1O0K BTU:13 <= 10000 cfm: 0 GAS OUTLETS.: 0 FURN > =1O0K BTU: 0 ) 10000 cfm: 0 Remarks: University of Phoenix TI. Owner: FEES GERDING /EDLEN DEVELOPMENT type amount by date recpt 4650 SW MACADAM AVE PRMT $ 124.00 DST 11/25/97 97- 301225 STE 200 PLCK $ 31.00 DST 11 /25/97 97- 301225 PORTLAND OR 97201 SPCT $ 6.20 DST 11/25/97 97-301225 Phone #: Contractor: AMERICAN HEATING INC 1339 SE GIDEON STE 1 $ 161.20 TOTAL PORTLAND OR 97202 Phone #: 239 -4600 Reg #..: 000331 REG!UIRED INSPECTIONS This permit is issued subject to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Heating Lint Insp applicable laws. All work will be done in accordance with Duct Inspection approved plans. This permit will expire if work is not started Fire Damper Insp within 180 days of issuance, or if work is suspended for more S. D. Shut—down than 180 days. ATTENTION: Oregon law requires you to follow rules Misc. I n s p e ct i o n adopted by the Oregon Utility Notification Center. Those rules are Final Inspection set forth in OAR 952-001 -0810 through OAR 952- 001 -$880. You may obtain copies of these rules or direct questions to OUNC by calling (503)246 -9187. Issue By: XPermittee Signature- ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for inspections needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ' Plan Che - 3 C CITY OF TIGARD - Mechanical Permit Appl Rec'd By 13125 SW HALL BLVD. Commercial and Residential Date Rec'd F / - 7 TIGARD, OR 97223 Srnmu - _ Date to P.E. '/ /G ?" (503) 639 -4171, x304 MEG, c o D C Dpj0.4 Date to DST At 47 . Print or Type permit* !A Cc 97 - Cyss Called I I ' 2 Incomplete or illegible applications will not be accepted Narpe of Development 1 � Description (/ Vi i U G(S i l 4 f 110 e p i 1 . `. Table 1A Mechanical Code CITY PRICE AMT Job Street Address Suite# A) Permit Fee -0- -0- 10.00 Address 1319 0 S w ij g PKw,A Bldg# r I- City/State r Zip 1.) Furnace to 100,000 BTU 6.00 - if l�mq� t rK i-m_�i�ard, O R. glzZ3 including duds&vents I. 9" 7 Name Mr name or business) 2.) Furnace 100,000 BTU+ 7.50 Owner 6eAT s /lad &IPM btu eI oP t -f1 0 . including duds & vents Mailing Add 3.) Floor Fumace 6.00 `I (D 50 .5(x) Ma,ca.taw.,Au P S c-200 including vent c (State 11 Zip Phone 4.) Suspended heater, wall heater 6.00 i b( 1 I CLvJ A DR Q Z 01 or floor mounted heater Name (or name of bust ) 5.) Vent not included in appliance permit 3.00 0A We c.1-y A rh 0ev(I`ti( Occupant Mailing Address 1 6.) Boiler or comp, heat pump, air cond. 6.00 I 31 Q t) 5 (J (.Q � P � wtu j to 3 HP; absorb unit to 100K BUT** City / Zip Phone t 7.) Boiler or comp, heat pump, air cond. 11.00 i n(d n 2 G1ZZ3 3-15 HP; absorb unit to 500K BTU" Contractor Nam J 8.) Boiler or comp, heat pump, air cond. 15.00 A wt .eN i Coot 0 1 1 tl.o1 15-30 HP; absorb units -1 mil BTU" Prior to permit Mailing Address 1 9.) Boiler or comp, heat pump, air cond. 22.50 issuance, a copy 1 33 9 S u.) & i d e..e-t� 30-50 HP; absorb unit 1- 1.75mi1 BTU" of all licenses City /State Zi Phone • 10.) Boiler or comp, heat pump, air cond. 37.50 are required if p or_ Z3 c j _� (o) n > 50 HP; absorb unit 1.75 mil BTU" expired in COT Oregon Const. Cont Board Lic.# Exp. Date 11.) Air handling unit to 10,000 CFM 4.50 database , 2, 3 5 Architect N8fe 13.) Non - portable evaporate cooler 4.50 or Mailing Address 14.) Vent fan connected to a single duct 3.00 Engineer CItylState Zip - Phone 15.) Ventilation system not included in 4.50 appliance permit Describe work New 0 Addition 0 Alteration A Repair 0 16.) Hood served by mechanical exhaust 4.50 to be done Residential 0 Non - residential 0 Additional Description of work: 17.) Domestic incinerators 7.50 18.) Commercial or industrial type 30.00 Incinerator Existing use of 19.) Repair units 4.50 building or property 20.) Wood stove 4.50 Proposed use of 21.) Clothes dryer, etc. 4.50 building or property 22.) Other units ea 4.50 Type of fuel - oil 0 natural gas 0 LPG 0 electric 0 23.) Gas piping one to four outlets 2.00 I hereby acknowledge that I have read this application, that the 24.) More than 4 -per outlets (each) .50 information given is correct, that I am the owner or authorized agent of the owner, that plans submitted kre in compliance with Oregon S e QTY. SUBTOTAL laws. . n.., s...,..,_ c.x:.)cU Q 1 1 l 12,q 7 Signature of Ownerf4gent Date *SUBTOTAL • 12 5% SURCHARGE f_ s_ Z 39 - y b on v Contact Person Name Phone PLAN REVIEW 25% OF SUBTOTAL 2 1 © a TOTAL 11 1/ i:lrnechpmt.doc (rev 9 () *Minimum permit fee is $25 + 5% surcharge O � ( y U _I •'Residential NC requires site plan showing placement of unit. 1. "1 V "� 1 I